MEDICARE: CYNTHIA CHILDRESS LEFTWICH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2306604840	VA

General Provider Information

NPI Number	:	1487462040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA CHILDRESS LEFTWICH

Provider Business Mailing Address
First Line	:	871 LAKELAND CT
Second Line	:
City	:	CULPEPER
State	:	VA
Zip	:	22701-2080
Country	:	US
Telephone Number	:	540-222-5959
Fax Number	:

Provider Business Practice Location Address
First Line	:	12425 VILLAGE LOOP
Second Line	:
City	:	CULPEPER
State	:	VA
Zip	:	22701-4306
Country	:	US
Telephone Number	:	540-321-1340
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2024
Last Update Date	:	12/27/2024

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Directions to “ CYNTHIA CHILDRESS LEFTWICH ” Practice Location

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